Why does my chest not hurt normally, but hurts when pressed? What should I do?
The chest normally does not hurt, but pain occurs when pressed. This may be related to excessive pressure, bacterial pericarditis, coronary atherosclerotic heart disease, and other causes. Treatment options include home care, medication, surgery, and others. Specific analyses are as follows:
1. Excessive Pressure
During daily chest compression, if the pressure applied is too great, it may cause local soft tissue injury, leading to symptoms such as pain and swelling. Applying a hot water bag for heat therapy on the chest in daily life may help relieve discomfort.
2. Bacterial Pericarditis
Bacterial pericarditis is an inflammatory infection occurring in the pericardium. If the disease progresses slowly, patients may not exhibit noticeable symptoms clinically. However, under external stimuli such as pressing, bumping, or emotional stress, symptoms such as chest pain and rapid breathing may occur. Patients can take antibiotics such as cefixime granules or amoxicillin capsules under medical guidance for anti-infective treatment. For severe pain, medications such as ibuprofen sustained-release capsules or acetaminophen tablets may be added according to doctor's instructions.
3. Coronary Atherosclerotic Heart Disease
Coronary atherosclerotic heart disease refers to the deposition of necrotic tissue or lipids within the coronary blood vessels. During chest compression, these lipid materials may dislodge and block the coronary arteries, potentially impairing blood and oxygen supply to the myocardium. In such cases, interventions may include medications such as urokinase for injection or enteric-coated aspirin tablets as prescribed. When necessary, procedures such as cardiac stent implantation or coronary artery bypass surgery may be performed under medical supervision.
In addition to the common causes mentioned above, similar symptoms may also be caused by pleurisy, intercostal neuralgia, acute mastitis, cholecystitis, and other conditions. If chest pain upon pressing persists for a prolonged period or worsens rapidly, prompt medical evaluation is recommended to identify the underlying cause and prevent further progression that could threaten health or life.